Organization
MS-AC MANKATO AG SENIOR LIVING LLC
Active
Parent organization
MERISTAR ACAS HOLDINGS, LLC
Other names
Autumn Grace
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERISTAR ACAS HOLDINGS, LLC
Authorized official
ROBERT SWEET (AUTHORIZED REPRESENTATIVE)
(240) 595-6064
Entity
Organization
Contact information
Practice address
118 RAVEN CT, MANKATO, MN 56001-8431
(507) 388-5412
Mailing address
1300 SPRING ST, STE 205, SILVER SPRING, MD 20910-3616
(240) 595-6064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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